FORM 33 
ORDER SHEET 
THE LAKEVIEW PONDS 
R. C. DOLLE, Proprietor 
‘AMERICAS OLDEST FANCY GOLDFISH FARM'- MT. AIRY, CINCINNATI, OHIO 
Date_Forward by 1_ 
(See Note below) 
Name_ 
(Please prefix Mr., Mrs. or Miss) 
Street, P. 0. Box or R. F. D_ 
Post Office - _ 
Express Office ( ,f f ^ e p. o NT ) -_ 
County_State_ 
• Make Checks payable to The Lakeview Ponds. 
More Order Blanks will be sent on request. 
Please write letters on separate sheet. 
A IT n 1 ^ STATE WHETHER P. O. MONEY ORDER, 
/4lllOUni tillCiOSeO EXPRESS money order or draft 
*NOTE: All fish must be shipped by Express. When plants are ordered with fish they will be for¬ 
warded in the same shipment with goldfish whenever possible. If plants only are ordered they 
may be sent by Parcel Post in which case add sufficient funds to cover the postage. 
Water Hyacinths are shipped from Florida by Express Only. 
QUANTITY ) DESCRIPTION AMOUNT 
Carried Forward: 
SUBSTITUTES: 1. If out of any item on this order you may substitute a similar 
item provided it is of equal or better quality and value.[ J 
2. Please do not substitute without notifying me. _.[ ] 
(Mark X in one of the above places) (OVER) 
STAMPS 
CASH 
M. 0. 
CHECK 
SENT DATE 
FISH 
HYAC. 
PLANTS 
LILIES 
SCAV. 
SUP. 
PLEASE DO NOT WRITE IN ABOVE SPACE 
